Clinical Trials

Several clinical trials investigate citrulline supplementation and related metabolic interventions for diverse indications, including bronchopulmonary dysplasia, pulmonary hypertension, type 2 diabetes mellitus, postmenopausal hypertension, and chemotherapy-induced toxicities such as mucositis and peripheral neuropathy. Spanning Early Phase 1 through unassigned or non-applicable protocols, trial recruitment statuses range from active recruitment and enrollment by invitation to protocols not yet recruiting. These studies are sponsored by academic and clinical institutions, including The Hospital for Sick Children, Texas Tech University, Tanta University, and Wuhan Union Hospital.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT06207461 Not yet recruiting
Traditional Chinese Acupoint Message|Intestinal Barrier|Gastrointestinal Dysfunction
Wuhan Union Hospital China
2024-02-15 --
NCT05636397 Recruiting
BPD - Bronchopulmonary Dysplasia|Pulmonary Hypertension|NEC
The Hospital for Sick Children
2023-11-01 Not Applicable
NCT06092476 Not yet recruiting
Diabetes Mellitus Type 2
Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)|Fractyl Health Inc.
2023-11-01 Not Applicable
NCT06025383 Recruiting
Menopause|Hypertension
Texas Tech University
2023-07-20 Not Applicable
NCT05590117 Enrolling by invitation
Colo-rectal Cancer|Neuropathy;Peripheral|Mucositis
Tanta University
2022-10-11 Early Phase 1

(data from https://clinicaltrials.gov, updated on 2024-05-22)

Check the DL-Citrulline product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

DL-Citrulline serves as a key intermediate in the urea cycle and an endogenous precursor for L-arginine synthesis, which stimulates endothelial nitric oxide synthase to produce nitric oxide and elevate intracellular cyclic GMP levels, resulting in vascular smooth muscle relaxation. This enhancement of nitric oxide bioavailability and microvascular perfusion provides the mechanistic basis for its clinical evaluation in pulmonary hypertension, postmenopausal vascular dysfunction, and mucosal tissue recovery.

Appendix RUO and cGMP Quality Standards

Quality Dimension RUO (Research Use Only) cGMP (Current Good Manufacturing Practice)
Clinical Applicability Prohibited in human clinical trials or medical diagnostics. Mandatory for human clinical trials (Phase I–III) and therapies.
Regulatory Status Non-regulated grade; exempt from drug manufacturing laws. Legally enforced by health authorities (e.g., FDA, EMA, NMPA).
Facility Environment Unclassified analytical or research laboratories. Validated Cleanrooms (ISO Class 5–8) with continuous monitoring.
Quality Control Basic purity and activity testing. Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma).
Process Validation Basic equipment calibration; no process validation required. Full qualification (IQ/OQ/PQ) and complete batch records.
Quality Assurance Vendor self-declared without required formal QMS. Mandatory QA/QC unit, Change Control, CAPA, and vendor audits.
Regulatory Impact High risk of IND rejection if used as a critical raw material. Required for IND/NDA filings, supported by Drug Master Files (DMF).

Footnotes

Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).

Note: Technical data last updated: Sep 1, 2026.